Fleur de Lis Federal Credit Union
433 Metairie Rd. Suite 114 Metairie, Louisiana 70005
Married applicants may apply for a separate account. If you are applying for Individual
Credit, you must complete the Applicant section about yourself and the Co-Applicant
section about your spouse if:
If you are relying on income from alimony, child support or separate maintenance,
complete the Co-Applicant section to the extent possible about the person on whose
payments you are relying.
If you are applying for Joint Credit with another person, complete the Applicant
and Co-Applicant sections.
TYPE AND AMOUNT OF CREDIT YOU'RE REQUESTING
PAYMENT PROTECTION COVERAGE
Check if desired
Find out more about Payment
Protection Insurance and why it's a better consumer value when offered through your credit union.
Check coverage(s) desired. We will disclose the cost of this Payment Protection Insurance - Credit
Disability and Credit Life - to you. A separate enrollment form which discloses the terms and
conditions must be signed for coverage to become effective.
TELL US ABOUT YOURSELF
You must submit copies of your latest two (2) paycheck stubs or recent w-2 to the credit union by mail, fax or personally.
By submitting this loan request, you agree that the information is correct to the best
of your knowledge. You also agree to notify us of any changes to your name, address or
You authorize the credit union to obtain credit reports in connection with this
Please only submit your loan application one time.
If the Credit Union needs any additional information after receiving your application, we will contact you.
Thanks for your cooperation!